VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Rossmary Acosta Escate
8507 Woodbine Lane
Annandale, VA 22003
(703) 678-3602

Current Inspector: Sheila F Nelson (804) 629-7489

Inspection Date: Sept. 7, 2021

Complaint Related: No

Areas Reviewed:

22VAC40-111 Administration 22VAC40-111 Personnel 22VAC40-111 Household Members 22VAC40-111 Physical Health of Caregivers and Household Members 22VAC40-111 Caregiver Training 22VAC40-111 Physical Environment and Equipment 22VAC40-111 Care of Children 22VAC40-111 Preventing the Spread of Disease 22VAC40-111 Emergencies 22VAC40-111 Nutrition 63.2 Child abuse and neglect

Technical Assistance:

Reminder: All household member's 14 years older and older is required to have a Central Registry check.

Comments:

Inspection Summary This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews and a virtual tour of the program. A monitoring inspection was initiated and concluded on September 7th, 2021.. The provider was contacted by telephone and a virtual inspection was conducted. There were 5 children present, ranging in ages from 8 months old to 2 years, 11 months, with 1 caregiver supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication special care and emergencies and nutrition. A total of 2 child records and 4 caregiver's and household member records were reviewed. If you have any questions, please contact me at Tanya.johnson@doe.virginia or call me at 703.371.5038.

Violations:

Standard #:	22VAC40-111-760-A
Description:	Based on an inspection, the provider failed to have all required emergency supplies were available on site. Evidence: The following items were missing from the first aid kit - 2 triangular bandages and a first aid manual.
Plan of Correction:	I will get the bandages and a first aid manual.
Standard #:	22VAC40-111-830-A
Description:	Based on a review of evacuation drill logs, the provider failed to ensure that the emergency evacuation procedures shall be practiced monthly with all caregivers and children in care. Evidence: The provider failed to complete an emergency evacuation drill for the month of July or August 2021.
Plan of Correction:	I will practice a fire drill each month.
Standard #:	22VAC40-111-100-A
Description:	Based on a review of children's records, the provider failed to obtain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance. Evidence: Child #1's record does not contain documentation of a physical by the 30th day of attendance.
Plan of Correction:	I will ask parents for physical record.
Standard #:	22VAC40-111-60-A
Description:	Based on a review of children's records, the provider failed to obtain all required documentation. Evidence: Child #2's records did not contain documentation of the address of employment for one parent. Child #2's records did not contain documentation of an address for one of the emergency contacts. Child #2's records did not contain documentation of the name and policy number of the child's medical insurance.
Plan of Correction:	I will ask the parents to provide the information.
Standard #:	22VAC40-111-90-A
Description:	Based on a review of children's records, the provider failed to obtain documentation of immunizations on the first day of attendance. Evidence: Child #1's records did not have documentation of immunizations on the first day of attendance. Child's first day of attendance was 09/25/2019.
Plan of Correction:	I will require that all children have proof of immunizations on the first day of attendance.